NPI | 1972779551 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 2457) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: IL 036154874) |
207RX0202X Internal Medicine, Medical Oncology (Licence: MO 2021025575) | |
Enumeration Date | 2008-05-05 |
Last Update Date | 2023-03-06 |